APPLICATION FORM FOR ADMISSION TO MANAGEMENT
PROGRAMMES THROUGH CORRESPONDENCE
To,
The Director, Affix your latest
Balaji Institute of Management studies (BIMS) Self attested
Survey No. 55/2-7, Tathawade, Opp. wakad Police Station, Passport size
0ff Pune - Mumbai express high way, Pune – 411 033, India Photograph
Sir,
1. I am keen to pursue the under mentioned job oriented autonomous management programme
through correspondence as under: -
a) First batch Commencing from 1st January 2008 (in respect of applications received after 01st December
2007) YES
b) Second batch Commencing from 1st June 2008 (in respect of applications received after 1March 2008)
YES
TWO-YEARS POST GRADUATE DIPLOMA PROGRAMMES - (Please tick the programme applied for)
Post Graduate Diploma in Management - (PGDM - DUAL)
Post Graduate Diploma in Hospital Management (PGDHM)
Post Graduate Diploma in Personnel Management and Human Resource Development (PGDPM &
HRD)
Post Graduate Diploma in International Business (PGDIB)
ONE-YEAR DIPLOMA PROGRAMMES
Diploma in Business Management (DBM)
Diploma in Human Resource Management (DHRM)
Diploma in Marketing Management (DMM)
Diploma in Industrial Security Management (DISM)
2. I hereby furnish my personal particulars as under: -
Full Name: __________________________________________________________________________
(In Capital Letters)
Fathers / Husband’s Name: _____________________________________________________________
Educational Qualification __________________________ Date of Birth: _____________________
(Xerox copy of Graduation/ Diploma/Matriculation certificate or mark sheet, is only to be attached, as proof of
Educational Qualification)
Postal Address: (In Capital Letters)______________________________________________________
____________________________________________________Place: __________________________
Pin code: Ph no. ____________________ E-mail Id _______________________________
Respond to the following: -
3. Are you serving in the Armed Forces? If yes, furnish the following information:
Rank _________ Name _______________________Arms / Service_____________________________
In case of PGDHM only
4. Are you from the Medical Profession? If so, what is your occupation (Such as Doctor, Nursing Officer and
so on) ______________________________________________________________________________
For PGDM (DUAL)
5. Specialization preferred ______________________________________________________________
Note: Specialization is available in Finance, Sales and Marketing, Personnel Management and HRD,
Production and Materials Management and Foreign Trade; Select any one specialization.
6. City preferred by you for Contact Programme &Examinations.___________________________________
7. Fees for Post Graduate Diploma Programmes:
a) For Indian Students:
The Course Fee for the entire two years is Rs.15000/- to be paid in three installments. The first installment is
Rs.7000/-, which is to be submitted with the Application Form along with the Rs. 1250/- (Registration fee
600/- + Prospectus Rs. 650/-). Second installment is Rs. 5000/- and third installment is Rs 3000/-.
b) For NRI / FOREIGN STUDENTS:
Total course fees including Registration and Prospectus is US $ 750/- Can be paid in two installments, 1st
installment of $450/- with Application Form including cost of Prospectus & Registration and 2nd installment of
$300/- after 6 months of admission.
I am enclosing a Bank draft No.____________ Dated _________ Amt: __________ Bankers__________
8. Fee for Diploma Programmes:
a) For Indian Students:
The Course Fee for one year Diploma Programmes is Rs.8000/- to be paid in two installments. The first
installment is Rs.4000/-, which is to be submitted with the Application Form along with the Rs 1250/-
(Registration fee 600/- + Prospectus Rs 650/-) & second installment of Rs 4000/- after 6 months.
b) For NRI / FOREIGN STUDENTS:
Total course fees including Registration and Prospectus is US $ 300/- Can be paid in two installments, 1st
installment of $200/- with Application Form including cost of Prospectus & Registration and 2nd installment of
$100/- after 6 months of admission.
I am enclosing a Bank draft No.___________ Dated _____ Amt: _________________ Bankers______________________
9. The fee for DIS Programme is Rs.4000/-, which should be remitted in one installment along with Rs.600/-
as registration fee. I am enclosing a Bank draft No.__________ Dated _____ Amt :_______ Bankers______
10. Mode of Payment:
All payments are to be made through demand draft in favour of “DIRECTOR, IIMM-PUNE”, Payable at Pune
(India) by all students.
11. Payments by Defence Personnel:
However, in case of Defence Personnel where No Bank is situated near by, Cheque may be sent. In such
cases the complete postal address of the Bankers on whom the Cheque is drawn should be clearly written
on the reverse side of the Cheque. The draft / Cheque will be returned in case admission is not granted due
to any reason.
NOTE: Applications can also be submitted with Registration Fees only and the first installment can be
remitted after receipt of admission letter, however, in such cases dispatch of study material may get delayed.
12. Please tick mark, how did you come to know about us?
News Paper Ad, [Link], Internet Search, Referred by Friend, Reference Site, Others,
13) I hereby undertake to abide by the rules of BIMS Pune for the purpose of the course applied for
Place: __________
Date: __________ (Signature of Applicant)
